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ABOUT EDSO

What EDSO Does

Dental Revenue Cycle Management
End-to-end billing & insurance lifecycle
Insurance Eligibility & Billing
Verification, claims & payment posting
AR & Denial Management
Reduce denials, accelerate collections
Operational Support Services
Workflow optimization & analytics
Call Center Support
Patient scheduling & communication

98%

Claims Acceptance Rate

HIPAA

Compliant Operations

500+

Dental Practices Served

EDSO supports dental practices by managing the operational and administrative systems that keep the practice running smoothly.

Our team helps practices improve financial performance, streamline workflows, and maintain strong operational controls — allowing dentists to focus on what matters most: delivering excellent patient care.

We provide structured, scalable, and compliance-driven non-clinical support services while preserving full clinical independence for every practice we serve.

  • HIPAA-aligned workflows & PHI protection
  • Full clinical independence preserved
  • Dedicated billing & credentialing experts
  • Secure workstation & data access controls
  • Role-based access control & audit trails
  • Scalable for group & independent practices
  • Transparent reporting & performance insights
  • Multi-location DSO support
TEMPLATES
Operational Workflow Templates

Implement proven, plug-and-play workflow templates that bring consistency, efficiency, and accountability to every corner of your dental practice.

1
Daily Huddle Template (10 Minutes Every Morning)

Review the day's schedule, identify any production gaps, confirm lab cases are in, flag patients with outstanding balances, and assign follow-up tasks. A structured morning huddle can increase daily production by 10–15% by keeping the team aligned.

 
2
New Patient Onboarding Workflow

Standardize every new patient touchpoint: welcome email → insurance verification → intake forms → pre-appointment confirmation call → chairside experience → treatment planning → scheduling follow-up. Consistency builds trust and drives referrals.

 
3
End-of-Day Financial Checklist

Each day, verify: all procedures are posted, all payments collected and posted, end-of-day batch is closed, insurance claims queued for next-day submission, and day-sheet balances. This eliminates missed charges and billing backlogs.

 
4
Denial Management Workflow

When a claim is denied: log the reason code → categorize (eligibility, coding, missing info, timely filing) → assign to the appropriate team member → set a follow-up deadline → appeal or resubmit within 10 business days. Track denial trends monthly.

 
5
Monthly Practice Performance Review

Hold a monthly review covering: collections vs. goal, new patients, reactivations, treatment acceptance, overhead %, and AR aging summary. Use this data to identify trends early and make proactive adjustments before small issues become big problems.

 
ANALYTICS
Dental Practice KPI Benchmarks

Use these industry-standard KPIs to evaluate your practice’s financial health and operational efficiency against top-performing dental offices.

 
1
Collection Rate: Target ≥ 98%

Your collection rate measures the percentage of money collected vs. what was earned (net production). A healthy practice collects 98%+ of adjusted production. If you're below 95%, investigate write-offs, discount patterns, and AR follow-up gaps.

 
2
New Patients Per Month: 15–25 for a Solo Practice

New patient flow fuels practice growth. Industry averages range from 15–25 new patients per month for a single-doctor office. Track sources (referrals, Google, insurance directories) to identify which marketing channels drive the best ROI.

 
3
Treatment Acceptance Rate: Target ≥ 85%

Of all treatment presented, 85% or more should be accepted and scheduled. Low acceptance often points to communication gaps during case presentation, not treatment quality. Invest in patient education tools and financial options.

 
4
Overhead Ratio: Target ≤ 60%

Practice overhead (excluding doctor compensation) should stay at or below 60% of collections. Break this down by category — staff (25–30%), supplies (5–6%), lab (8–10%), facility (5–7%), and admin/marketing (5–8%).

 
5
Reappointment Rate: Target ≥ 90%

At least 90% of active patients should have a future appointment on the books before leaving. Unscheduled patients are at high risk of becoming inactive. Use automated recall systems and confirm appointments 48–72 hours in advance.

 
STEP-BY-STEP GUIDE
Dental Insurance Claim Guide

Navigate the complete dental insurance claims process — from pre-authorization to payment posting — with confidence and accuracy.

1
Step 1 — Pre-Authorization & Eligibility

Before treatment, verify the patient's insurance plan, coverage limits, and whether the planned procedure requires prior authorization. Submit pre-authorization requests at least 5–7 business days in advance for major restorative or surgical procedures.

 
2
Step 2 — Accurate Documentation at Point of Care

Document the treatment thoroughly in the patient chart — including clinical notes, X-rays, periodontal measurements, and photographs. The quality of your documentation directly determines whether a claim will be approved or denied.

 
3
Step 3 — Claim Preparation & Submission

Complete the ADA claim form (J430D) with accurate CDT codes, tooth numbers, surfaces, diagnosis codes, and provider information. Submit electronically through your practice management software or a clearinghouse for fastest processing.

 
4
Step 4 — Tracking the Claim

After submission, track the claim status through your clearinghouse or payer portal. Most payers acknowledge receipt within 24–48 hours. If no acknowledgment is received within 5 business days, follow up immediately to prevent timely filing issues.

 
5
Step 5 — ERA / EOB Review & Payment Posting

When the Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA) arrives, review each line item. Verify the payment matches the contracted fee schedule. Post payments accurately and immediately identify any underpayments or adjustments for appeal.

 
BEST PRACTICES
Dental Billing Best Practices

Master the core principles of dental billing to reduce claim rejections, accelerate reimbursements, and keep your revenue cycle healthy.

1
Verify Eligibility Before Every Appointment

Always confirm a patient's insurance coverage and benefits 24–48 hours before their visit. This prevents surprise claim rejections and ensures accurate patient cost estimates. Check for active coverage, annual maximums, remaining deductibles, and waiting periods.

 
2
Use Accurate CDT Codes

Current Dental Terminology (CDT) codes must precisely describe the procedures performed. Using outdated or incorrect codes is one of the top causes of claim denials. Conduct quarterly code audits and train staff on annual CDT updates published by the ADA.

 
3
Submit Claims Within 24 Hours

Delayed claim submission directly impacts cash flow. Aim to submit all claims electronically within 24 hours of service. Most payers process electronic claims in 7–14 days compared to 30+ days for paper claims.

 
4
Attach Necessary Documentation

Many procedures require supporting documentation — X-rays, periodontal charting, narratives, or photos. Missing attachments are a leading cause of denials. Build a checklist for high-denial procedures like periodontal therapy, implants, and crowns.

 
5
Track and Work Your AR Aging Report Weekly

Review your accounts receivable aging report every week. Prioritize claims over 30 days. Anything beyond 90 days risks timely filing limits. Categorize by payer and assign follow-up ownership to specific team members.

About

Maintain active insurance network participation for your providers.

  • Provider credentialing
  • Network enrollment
  • Renewal tracking
  • Compliance updates

Operations Support

We help practices build efficient operational systems that drive results.

  • Workflow optimization
  • Reporting & analytics
  • Operational coordination
  • Production & collections tracking